Patikros Lapas Administracinės Atitikties Vertinimas
1
Appendix 3
to the Application Guidelines for Projects financed by the Funds of
Good Will Foundation
TABLE OF ADMINISTRATIVE COMPLIANCEASSESSMENT
Application No.: / Name of the applicant:No. / Requirements for Assessment of
Administrative Compliance / Yes / No / Not applicable / After specification
Yes/No
1. / Has the application for funding of the project been submitted by the final submission deadline indicated in the Call for Applications?
2. / Has the application been submitted in the acceptableway?
3. / Has the descriptive part (Application) of the application for funding of the project been submitted?
4. / Has the cost estimate been submitted to the application (Appendix 1)?
5. / Has the application for funding of the project and added documents been filled up in Lithuanian language? In those cases, when application is submitted by persons not registered/resided in the Republic of Lithuania – has it been filled up in English language?
6. / Has the application and estimate been fully completed, signed and does it fully correspond with the established form?
7. / Have all required documents been added, as provided in article 23.2. in the Guidelines:
7.1. / Has the copy of the newest annual financial report of legal entity been added?
7.2. / Has a list of members of community / religious community been submitted (if applicable)?
7.3. / Has an approved copy of the registration certificate of the applicant been submitted?
7.4. / Has an approved copy of legal entity’s articles (regulations and/or statute) been submitted?
7.5. / Has the newest, not older than 60 days, criminal record which states that the applicant is not sentenced, is not indebted to the State Tax Inspectorate under the Ministry of Finance of the Republic of Lithuania and the State Social Insurance Fund been submitted? If the applicant is a natural person – has the criminal record been submitted?If the applicant – legal entity registered outside the Republic of Lithuania – meets all provisions of the article 23.2.5. in the Guidelines, is the declaration of oath submitted (Appendix 2)?
7.6. / Has the copy of a partnership (cooperation) contract, if partners take part in the project been submitted?
7.7. / Have the Standards of depreciation of fixed asset which are confirmed by applicant’s organization, and minimum value of fixed asset which are applied in the organization according to the types of asset been submitted (if applicable)?
8. / Has the document certifying the authorizations of the person, who signed the application, been submitted, if the application is signed not by the head of Applicant’s organization?
9. / Is the application associated with the objects of copyright and has the application been submitted by a natural person / Lithuanian Jewish (Litvak) Community and its members (legal entities) / other open and transparent organizations acting in the fields of Lithuanian Jewish religion, culture, health care, sports, education and science?
10. / Do the costs categories exceed the determined maximum limit?
11. / Have the documents of the contribution to the project with own funds been submitted?
FINAL REMARKS OF EVALUATOR
The special importance project status is indicated and comments on the reasons for assigning as special importance project (e.g. more intensive/bigger finansation than established in the article 6 in the Guidelines) are added. Also, other circumstances, that requires separate approval of the Board (e.g. planned longer than 24-month period of project implementation) are indicated.
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(The title of position) (Signature) (First name and Family name)
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(Date)
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(The title of position) (Signature) (First name and Family name)
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(Date)